| NPI | 1174856702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCESS IFEOMA U ACHUSIM Pharmacist 505-344-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00007072) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |